青岛维护提交

WXL

5 天以前 475a352a4bfd7ac3a81e8c7c92d3bb64e2e01037

 src/views/business/maintain/maintainInfo.vue

@@ -4,12 +4,7 @@
    <el-card class="detail-card">
      <div slot="header" class="clearfix">
        <span class="detail-title">供者基本信息</span>
        <el-button
          v-if="isEdit"
          type="primary"
          style="float: right; padding: 3px 0"
          @click="handleSave"
        >
        <el-button type="success" style="float: right;" @click="handleSave">
          保存信息
        </el-button>
      </div>
@@ -18,21 +13,17 @@
        <el-row :gutter="20">
          <el-col :span="8">
            <el-form-item label="住院号" prop="caseNo">
              <el-input v-model="form.caseNo" :readonly="!isEdit" />
              <el-input v-model="form.caseNo" />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="捐献者姓名" prop="donorName">
              <el-input v-model="form.donorName" :readonly="!isEdit" />
            <el-form-item label="捐献者姓名" prop="name">
              <el-input v-model="form.name" />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="性别" prop="gender">
              <el-select
                v-model="form.gender"
                :disabled="!isEdit"
                style="width: 100%"
              >
              <el-select v-model="form.sex" style="width: 100%">
                <el-option label="男" value="0" />
                <el-option label="女" value="1" />
              </el-select>
@@ -43,46 +34,61 @@
        <el-row :gutter="20">
          <el-col :span="8">
            <el-form-item label="年龄" prop="age">
              <el-input v-model="form.age" :readonly="!isEdit" />
              <el-input v-model="form.age" />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="疾病诊断" prop="diagnosis">
              <el-input v-model="form.diagnosis" :readonly="!isEdit" />
            <el-form-item label="疾病诊断" prop="diagnosisname">
              <el-input v-model="form.diagnosisname" />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="所在医疗机构" prop="hospitalName">
              <el-input v-model="form.hospitalName" :readonly="!isEdit" />
            <el-form-item label="首诊医疗机构" prop="treatmenthospitalname">
              <el-input v-model="form.treatmenthospitalname" />
            </el-form-item>
          </el-col>
        </el-row>

        <el-row :gutter="20">
          <el-col :span="8">
            <el-form-item label="患者状态" prop="patientStatus">
              <el-select
                v-model="form.patientStatus"
                :disabled="!isEdit"
                style="width: 100%"
              >
                <el-option label="DCD" value="1" />
            <el-form-item label="患者状态" prop="recordstate">
              <el-select v-model="form.recordstate" style="width: 100%">
                <!-- <el-option label="DCD" value="1" />
                <el-option label="DBD" value="2" />
                <el-option label="DBCD" value="3" />
                <el-option label="已完成捐献" value="4" />
                <el-option label="未完成捐献" value="5" />
                <el-option label="未完成捐献" value="5" /> -->
                <el-option
                  v-for="dict in dict.type.sys_DonationCategory || []"
                  :key="dict.value"
                  :label="dict.label"
                  :value="dict.value"
                ></el-option>
              </el-select>
            </el-form-item>
            <!-- <el-form-item
              align="left"
              label="患者捐献状态"
              prop="donationcategory"
            >
              <el-radio-group v-model="form.recordstate">
                <el-radio
                  v-for="dict in dict.type.sys_DonationCategory || []"
                  :key="dict.value"
                  :label="dict.value"
                  >{{ dict.label }}</el-radio
                >
              </el-radio-group>
            </el-form-item> -->
          </el-col>
          <el-col :span="8">
            <el-form-item
              label="未完成原因"
              prop="incompleteReason"
              v-if="form.patientStatus === '5'"
              v-if="form.recordstate === '5'"
            >
              <el-input
                v-model="form.incompleteReason"
                :readonly="!isEdit"
                placeholder="请输入未完成捐献的原因"
              />
            </el-form-item>
@@ -91,59 +97,59 @@

        <el-row :gutter="20">
          <el-col :span="8">
            <el-form-item label="入院时间" prop="admissionTime">
            <el-form-item label="上报时间" prop="reporttime">
              <el-date-picker
                v-model="form.admissionTime"
                v-model="form.reporttime"
                type="datetime"
                value-format="yyyy-MM-dd HH:mm:ss"
                style="width: 100%"
                :disabled="!isEdit"
              />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="出院时间" prop="dischargeTime">
            <el-form-item label="死亡时间" prop="deathTime">
              <el-date-picker
                v-model="form.dischargeTime"
                v-model="form.deathTime"
                type="datetime"
                value-format="yyyy-MM-dd HH:mm:ss"
                style="width: 100%"
                :disabled="!isEdit"
              />
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="协调员" prop="coordinator">
              <el-input v-model="form.coordinator" :readonly="!isEdit" />
            <el-form-item label="协调员" prop="coordinatorName">
              <el-input v-model="form.coordinatorName" />
            </el-form-item>
          </el-col>
        </el-row>

        <el-row :gutter="20">
          <el-col :span="8">
            <el-form-item label="血型" prop="bloodType">
              <el-select
                v-model="form.bloodType"
                :disabled="!isEdit"
                style="width: 100%"
              >
                <el-option label="A型" value="A" />
            <el-form-item label="血型" prop="bloodtype">
              <el-select v-model="form.bloodtype" style="width: 100%">
                <!-- <el-option label="A型" value="A" />
                <el-option label="B型" value="B" />
                <el-option label="O型" value="O" />
                <el-option label="AB型" value="AB" />
                <el-option label="AB型" value="AB" /> -->
                <el-option
                  v-for="dict in dict.type.sys_BloodType"
                  :key="dict.value"
                  :label="dict.label"
                  :value="dict.value"
                ></el-option>
              </el-select>
            </el-form-item>
          </el-col>
          <el-col :span="8">
            <el-form-item label="RH因子" prop="rhFactor">
              <el-select
                v-model="form.rhFactor"
                :disabled="!isEdit"
                style="width: 100%"
              >
                <el-option label="阳性" value="positive" />
                <el-option label="阴性" value="negative" />
              </el-select>
            <el-form-item label="Rh(D)" prop="rhYin">
              <el-radio-group v-model="form.rhYin">
                <el-radio
                  v-for="dict in dict.type.sys_bloodtype_rhd || []"
                  :key="dict.value"
                  :label="dict.value"
                  >{{ dict.label }}</el-radio
                >
              </el-radio-group>
            </el-form-item>
          </el-col>
        </el-row>
@@ -153,12 +159,12 @@
            type="textarea"
            :rows="3"
            v-model="form.specialMedicalHistory"
            :readonly="!isEdit"
            placeholder="记录特殊病史信息"
          />
        </el-form-item>
      </el-form>
    </el-card>

    <el-card class="assessment-card">
      <div slot="header" class="clearfix">
        <span class="detail-title">供者评估各项记录</span>
@@ -193,14 +199,7 @@
                label="培养类型"
                align="center"
                prop="cultureType"
              >
                <!-- <template slot-scope="scope">
            <dict-tag
              :options="cultureTypeOptions"
              :value="scope.row.cultureType"
            />
          </template> -->
              </el-table-column>
              />
              <el-table-column
                label="采样时间"
                align="center"
@@ -216,7 +215,6 @@
                  </el-tag>
                </template>
              </el-table-column>
              <!-- 附件列 -->
              <el-table-column label="附件" align="center">
                <template slot-scope="scope">
                  <el-button
@@ -257,14 +255,6 @@
                </template>
              </el-table-column>
            </el-table>

            <pagination
              v-show="cultureTotal > 0"
              :total="cultureTotal"
              :page.sync="cultureQueryParams.pageNum"
              :limit.sync="cultureQueryParams.pageSize"
              @pagination="getCultureList"
            />
          </el-card>
        </el-tab-pane>

@@ -272,6 +262,7 @@
        <el-tab-pane label="肝功能肾功能" name="liverKidney">
          <liver-kidney-panel
            ref="liverKidney"
            :initial-data="assessmentData.liverKidney"
            :is-editing="isEdit && activeTab === 'liverKidney'"
            @data-change="handleLiverKidneyDataChange"
          />
@@ -281,6 +272,7 @@
        <el-tab-pane label="血常规" name="bloodRoutine">
          <blood-routine-panel
            ref="bloodRoutine"
            :initial-data="assessmentData.bloodRoutine"
            :is-editing="isEdit && activeTab === 'bloodRoutine'"
            @data-change="handleBloodRoutineDataChange"
          />
@@ -290,15 +282,15 @@
        <el-tab-pane label="尿常规" name="urineRoutine">
          <urine-routine-panel
            ref="urineRoutine"
            :initial-data="assessmentData.urineRoutine"
            :is-editing="isEdit && activeTab === 'urineRoutine'"
            @data-change="handleUrineRoutineDataChange"
          />
        </el-tab-pane>
      </el-tabs>
    </el-card>
    <!-- 培养结果记录 -->

    <!-- 简化后的护理核查记录 -->
    <!-- 护理核查记录 -->
    <el-card class="record-card">
      <div slot="header" class="clearfix">
        <span class="detail-title">护理核查记录</span>
@@ -332,7 +324,6 @@
          min-width="200"
          show-overflow-tooltip
        />
        <!-- 附件列 -->
        <el-table-column label="附件" align="center" width="120">
          <template slot-scope="scope">
            <el-button
@@ -352,32 +343,27 @@
          width="180"
          class-name="small-padding fixed-width"
        >
          <el-button
            size="mini"
            type="text"
            icon="el-icon-edit"
            @click="handleEditRecord(scope.row)"
            >编辑</el-button
          >
          <el-button
            size="mini"
            type="text"
            icon="el-icon-delete"
            style="color: #F56C6C;"
            @click="handleDeleteRecord(scope.row)"
            >删除</el-button
          >
          <template slot-scope="scope">
            <el-button
              size="mini"
              type="text"
              icon="el-icon-edit"
              @click="handleEditRecord(scope.row)"
              >编辑</el-button
            >
            <el-button
              size="mini"
              type="text"
              icon="el-icon-delete"
              style="color: #F56C6C;"
              @click="handleDeleteRecord(scope.row)"
              >删除</el-button
            >
          </template>
        </el-table-column>
      </el-table>

      <pagination
        v-show="recordTotal > 0"
        :total="recordTotal"
        :page.sync="recordQueryParams.pageNum"
        :limit.sync="recordQueryParams.pageSize"
        @pagination="getRecordList"
      />
    </el-card>

    <!-- 培养记录编辑对话框 -->
    <el-dialog
      :title="cultureDialogTitle"
@@ -436,7 +422,6 @@
          </el-col>
        </el-row>

        <!-- 附件上传 -->
        <el-form-item label="附件">
          <upload-attachment
            :file-list="cultureForm.attachments"
@@ -500,7 +485,6 @@
          />
        </el-form-item>

        <!-- 附件上传 -->
        <el-form-item label="附件">
          <upload-attachment
            :file-list="recordForm.attachments"
@@ -531,19 +515,7 @@
</template>

<script>
import { getMaintenanceDetail, updateMaintenance } from "./mockMaintenanceApi";
import {
  listCultureResults,
  addCultureResult,
  updateCultureResult,
  deleteCultureResult
} from "./mockMaintenanceApi";
import {
  listNursingRecords,
  addNursingRecord,
  updateNursingRecord,
  deleteNursingRecord
} from "./mockMaintenanceApi";
import { maintainList, maintainedit, maintainAdd } from "@/api/businessApi";
import Pagination from "@/components/Pagination";
import UploadAttachment from "@/components/UploadAttachment";
import AttachmentPreview from "@/components/AttachmentPreview";
@@ -561,120 +533,44 @@
    BloodRoutinePanel,
    UrineRoutinePanel
  },
  dicts: [
    "sys_donornode",
    "sys_BloodType",
    "sys_EthicalReview",
    "sys_BaseAssessConclusion",
    "sys_bloodtype_rhd",
    "sys_DonationCategory"
  ],

  data() {
    return {
      isEdit: true,
      isEdit: false,
      currentMaintenanceId: null,
      isEditMode: false,
      form: {
        id: undefined,
        caseNo: "",
        donorName: "",
        name: "",
        gender: "",
        age: "",
        diagnosis: "",
        hospitalName: "",
        patientStatus: "1",
        admissionTime: "",
        dischargeTime: "",
        coordinator: "",
        bloodType: "",
        diagnosisname: "",
        treatmenthospitalname: "",
        recordstate: "1",
        reporttime: "",
        deathTime: "",
        coordinatorName: "",
        bloodtype: "",
        rhFactor: "",
        specialMedicalHistory: "",
        incompleteReason: ""
      },
      activeTab: "culture",
      liverKidneyData: {}, // 从 maintainList 接口获取的数据
      bloodRoutineData: {}, // 从 maintainList 接口获取的数据
      liverKidneyData: {}, // 从 maintainList 接口获取的数据
      // 培养结果相关数据
      // 培养结果相关数据
      cultureList: [
        {
          id: 1,
          cultureType: "血培养",
          sampleTime: "2024-12-19 10:30:00",
          result: "阴性",
          bacteria: "",
          drugSensitivity: "",
          testingInstitution: "北京医学检验中心",
          specimenType: "血液",
          remarks: "常规检测",
          attachments: [
            {
              id: 1,
              fileName: "血培养报告.pdf",
              fileUrl:
                "http://localhost:8080/profile/upload/2025/12/27/1.COPO供体评估表.pdf",
              fileSize: 1024000,
              uploadTime: "2024-12-19 11:00:00"
            }
          ]
        },
        {
          id: 3,
          cultureType: "血培养",
          sampleTime: "2024-12-20 09:15:00",
          result: "阴性",
          bacteria: "",
          drugSensitivity: "",
          testingInstitution: "广州检测中心",
          specimenType: "尿液",
          remarks: "清洁中段尿标本",
          attachments: []
        },
        {
          id: 2,
          cultureType: "痰培养结果",
          sampleTime: "2024-12-19 14:20:00",
          result: "阳性",
          bacteria: "金黄色葡萄球菌",
          drugSensitivity: "对青霉素敏感，对头孢类中介",
          testingInstitution: "上海医学检验所",
          specimenType: "痰液",
          remarks: "药敏试验完成",
          attachments: [
            {
              id: 2,
              fileName: "痰培养结果.jpg",
              fileUrl:
                "https://img95.699pic.com/photo/40142/8262.jpg_wh860.jpg",
              fileSize: 512000,
              uploadTime: "2024-12-19 15:30:00"
            },
            {
              id: 3,
              fileName: "药敏报告.pdf",
              fileUrl:
                "http://localhost:8080/profile/upload/2025/12/27/(吴龙8.7)每日工作总结.pdf",
              fileSize: 768000,
              uploadTime: "2024-12-19 16:00:00"
            }
          ]
        },

        {
          id: 4,
          cultureType: "真菌培养",
          sampleTime: "2024-12-20 11:45:00",
          result: "阳性",
          bacteria: "大肠杆菌",
          drugSensitivity: "对左氧氟沙星敏感",
          testingInstitution: "深圳人民医院",
          specimenType: "伤口分泌物",
          remarks: "术后伤口感染监测",
          attachments: [
            {
              id: 4,
              fileName: "真菌培养.pdf",
              fileUrl: "/reports/culture4.pdf",
              fileSize: 890000,
              uploadTime: "2024-12-20 13:20:00"
            }
          ]
        }
      ],
      cultureList: [],
      cultureLoading: false,
      cultureTotal: 5,
      cultureQueryParams: {
        pageNum: 1,
        pageSize: 10
      },
      cultureDialogVisible: false,
      cultureDialogTitle: "",
      cultureSaveLoading: false,
@@ -683,7 +579,7 @@
        cultureType: "",
        sampleTime: "",
        result: "阴性",
        attachments: [] // 新增附件字段
        attachments: []
      },
      cultureRules: {
        cultureType: [
@@ -706,120 +602,8 @@
      ],

      // 护理核查记录相关数据
      recordList: [
        {
          id: 1,
          recordTime: "2024-12-19 08:30:00",
          recorder: "张护士",
          temperature: 36.8,
          heartRate: 78,
          bloodPressure: "120/80",
          respirationRate: 18,
          oxygenSaturation: 98,
          urineOutput: 60,
          cvp: 8,
          checkRecord: "患者生命体征平稳，意识清楚，配合治疗",
          remarks: "夜间睡眠良好",
          attachments: [
            {
              id: 1,
              fileName: "早班护理记录.jpg",
              fileUrl: "/records/nursing1.jpg",
              fileSize: 1024000,
              uploadTime: "2024-12-19 09:00:00"
            }
          ]
        },
        {
          id: 2,
          recordTime: "2024-12-19 14:30:00",
          recorder: "李护士",
          temperature: 37.2,
          heartRate: 82,
          bloodPressure: "118/76",
          respirationRate: 16,
          oxygenSaturation: 97,
          urineOutput: 45,
          cvp: 7.5,
          checkRecord: "患者午后体温略有升高，观察中",
          remarks: "建议增加水分摄入",
          attachments: []
        },
        {
          id: 3,
          recordTime: "2024-12-19 20:30:00",
          recorder: "王护士",
          temperature: 36.9,
          heartRate: 75,
          bloodPressure: "122/78",
          respirationRate: 17,
          oxygenSaturation: 98,
          urineOutput: 55,
          cvp: 8.2,
          checkRecord: "晚间生命体征稳定，患者休息良好",
          remarks: "夜间监测无异常",
          attachments: [
            {
              id: 2,
              fileName: "晚班护理记录.pdf",
              fileUrl: "/records/nursing3.pdf",
              fileSize: 890000,
              uploadTime: "2024-12-19 21:00:00"
            },
            {
              id: 3,
              fileName: "体征监测表.xlsx",
              fileUrl: "/records/monitoring3.xlsx",
              fileSize: 256000,
              uploadTime: "2024-12-19 21:15:00"
            }
          ]
        },
        {
          id: 4,
          recordTime: "2024-12-20 08:30:00",
          recorder: "赵护士",
          temperature: 36.7,
          heartRate: 80,
          bloodPressure: "119/77",
          respirationRate: 18,
          oxygenSaturation: 99,
          urineOutput: 65,
          cvp: 7.8,
          checkRecord: "晨间生命体征正常，患者精神状态良好",
          remarks: "准备今日检查",
          attachments: []
        },
        {
          id: 5,
          recordTime: "2024-12-20 12:30:00",
          recorder: "刘护士",
          temperature: 37.1,
          heartRate: 85,
          bloodPressure: "121/79",
          respirationRate: 19,
          oxygenSaturation: 96,
          urineOutput: 40,
          cvp: 8.5,
          checkRecord: "午间体温略有波动，继续观察",
          remarks: "已通知医生",
          attachments: [
            {
              id: 4,
              fileName: "午间护理记录.jpg",
              fileUrl: "/records/nursing5.jpg",
              fileSize: 765000,
              uploadTime: "2024-12-20 13:00:00"
            }
          ]
        }
      ],
      recordList: [],
      recordLoading: false,
      recordTotal: 4,
      recordQueryParams: {
        pageNum: 1,
        pageSize: 10
      },
      recordDialogVisible: false,
      recordDialogTitle: "",
      recordSaveLoading: false,
@@ -827,8 +611,8 @@
        id: undefined,
        recordTime: "",
        recorder: "",
        checkRecord: "", // 改为单字段记录
        attachments: [] // 新增附件字段
        checkRecord: "",
        attachments: []
      },
      recordRules: {
        recordTime: [
@@ -845,87 +629,152 @@
      // 附件预览相关
      attachmentPreviewVisible: false,
      currentAttachmentList: [],
      attachmentPreviewTitle: ""
      attachmentPreviewTitle: "",

      // 评估数据存储
      assessmentData: {
        liverKidney: {},
        bloodRoutine: {},
        urineRoutine: {},
        cultureResults: [],
        nursingRecords: []
      }
    };
  },
  created() {
    const id = this.$route.query.id;
    // this.isEdit = this.$route.query.edit === "true";
    if (id) {
      this.getDetail(id);
      this.getCultureList();
      this.getRecordList();
    this.loadMaintenanceData();
  },
  watch: {
    $route(to, from) {
      this.loadMaintenanceData();
    }
  },
  methods: {
    // 获取详情
    getDetail(id) {
      getMaintenanceDetail(id).then(response => {
    // 加载维护数据[1,3](@ref)
    async loadMaintenanceData() {
      try {
        this.cultureLoading = true;
        this.recordLoading = true;

        const { id, infoid } = this.$route.query;
        const queryParams = {};

        if (id) {
          queryParams.id = id;
          this.currentMaintenanceId = id;
          this.isEditMode = true;
        } else if (infoid) {
          queryParams.infoid = infoid;
          this.currentMaintenanceId = null;
          this.isEditMode = false;
        } else {
          this.$message.error("缺少必要的路由参数");
          return;
        }

        const response = await maintainList(queryParams);
        if (response.code === 200) {
          this.form = response.data;
        }
      });
    },
    // 培养记录附件变更
    handleCultureAttachmentChange(fileList) {
      this.cultureForm.attachments = fileList;
    },
          let maintenanceData = response.data[0];

    // 护理记录附件变更
    handleRecordAttachmentChange(fileList) {
      this.recordForm.attachments = fileList;
    },

    // 查看培养记录附件
    handleViewCultureAttachments(row) {
      console.log(22, row.attachments);

      this.currentAttachmentList = row.attachments || [];
      this.attachmentPreviewTitle = `培养记录附件 - ${row.cultureType}`;
      this.attachmentPreviewVisible = true;
    },
    handleTabClick(tab) {
      this.$nextTick(() => {
        console.log(tab.name, 88);
        const tableRef=null;
        if (tab.name == "liverKidney") {
           tableRef = this.$refs.liverKidney; // 请替换为您的表格 ref
        } else if (tab.name == "bloodRoutine") {
           tableRef = this.$refs.bloodRoutine; // 请替换为您的表格 ref
        } else if (tab.name == "bloodRoutine") {
           tableRef = this.$refs.bloodRoutine; // 请替换为您的表格 ref
        }
        // 如果是 el-table，尝试调用其 doLayout 方法
        if (tableRef && tableRef.doLayout) {
          tableRef.doLayout();
        }

        // 或者，更通用的强制重新渲染方式
        this.$forceUpdate(); // 慎用，可能引发其他问题[1](@ref)
      });
    },
    // 查看护理记录附件
    handleViewRecordAttachments(row) {
      this.currentAttachmentList = row.attachments || [];
      this.attachmentPreviewTitle = `护理核查记录附件 - ${row.recorder}`;
      this.attachmentPreviewVisible = true;
    },
    // 培养记录相关方法
    getCultureList() {
      this.cultureLoading = true;
      listCultureResults(this.form.id, this.cultureQueryParams)
        .then(response => {
          if (response.code === 200) {
            // this.cultureList = response.data.rows;
            // this.cultureTotal = response.data.total;
          // 处理数组响应
          if (Array.isArray(maintenanceData)) {
            maintenanceData = maintenanceData[0] || {};
          }
          this.cultureLoading = false;
        })
        .catch(() => {
          this.cultureLoading = false;
        });

          // 解析itemDesc字段中的JSON数据[6,8](@ref)
          if (maintenanceData.itemDesc) {
            try {
              const itemDescData = JSON.parse(maintenanceData.itemDesc);
              this.assessmentData = { ...this.assessmentData, ...itemDescData };

              // 填充各个模块的数据
              if (itemDescData.cultureResults) {
                this.cultureList = itemDescData.cultureResults;
              }
              if (itemDescData.nursingRecords) {
                this.recordList = itemDescData.nursingRecords;
              }
              if (itemDescData.liverKidney) {
                this.assessmentData.liverKidney = itemDescData.liverKidney;
              }
              if (itemDescData.bloodRoutine) {
                this.assessmentData.bloodRoutine = itemDescData.bloodRoutine;
              }
              if (itemDescData.urineRoutine) {
                this.assessmentData.urineRoutine = itemDescData.urineRoutine;
              }
            } catch (error) {
              console.error("解析itemDesc JSON失败:", error);
            }
          }

          // 填充基础表单数据
          this.form = { ...this.form, ...maintenanceData };
          this.$message.success("数据加载成功");
        } else {
          this.$message.error("数据加载失败：" + (response.msg || "未知错误"));
        }
      } catch (error) {
        console.error("加载维护数据失败:", error);
        this.$message.error("数据加载失败");
      } finally {
        this.cultureLoading = false;
        this.recordLoading = false;
      }
    },

    // 保存所有数据[1,2](@ref)
    async handleSave() {
      try {
        // 构建保存数据
        const saveData = {
          ...this.form,
          itemDesc: JSON.stringify({
            liverKidney: this.assessmentData.liverKidney,
            bloodRoutine: this.assessmentData.bloodRoutine,
            urineRoutine: this.assessmentData.urineRoutine,
            cultureResults: this.cultureList,
            nursingRecords: this.recordList
          })
        };

        let response;
        if (this.isEditMode && this.currentMaintenanceId) {
          // 编辑模式，调用maintainedit接口[1](@ref)
          saveData.id = this.currentMaintenanceId;
          response = await maintainedit(saveData);
        } else {
          // 新增模式，调用maintainAdd接口[2](@ref)
          response = await maintainAdd(saveData);
        }

        if (response.code === 200) {
          this.$message.success("保存成功");
          this.isEdit = false;

          // 如果是新增保存，更新当前ID
          if (!this.isEditMode && response.data && response.data.id) {
            this.currentMaintenanceId = response.data.id;
            this.isEditMode = true;
          }
        } else {
          this.$message.error("保存失败：" + (response.msg || "未知错误"));
        }
      } catch (error) {
        console.error("保存数据失败:", error);
        this.$message.error("保存失败");
      }
    },

    // 切换编辑模式
    toggleEditMode() {
      this.isEdit = !this.isEdit;
      if (!this.isEdit) {
        this.handleSave();
      }
    },

    // 培养记录相关方法
    handleAddCulture() {
      this.cultureDialogTitle = "新增培养记录";
      this.cultureForm = {
@@ -933,11 +782,7 @@
        cultureType: "",
        sampleTime: "",
        result: "阴性",
        bacteria: "",
        drugSensitivity: "",
        testingInstitution: "",
        specimenType: "",
        remarks: ""
        attachments: []
      };
      this.cultureDialogVisible = true;
      this.$nextTick(() => {
@@ -954,70 +799,28 @@
      });
    },

    handleViewCulture(row) {
      this.$alert(
        `
        <div>
          <p><strong>培养类型：</strong>${this.getCultureTypeLabel(
            row.cultureType
          )}</p>
          <p><strong>采样时间：</strong>${row.sampleTime}</p>
          <p><strong>培养结果：</strong>${row.result}</p>
          <p><strong>检测机构：</strong>${row.testingInstitution}</p>
        </div>
      `,
        "培养记录详情",
        {
          dangerouslyUseHTMLString: true,
          customClass: "detail-dialog"
        }
      );
    },
    toggleEditMode() {
      this.isEdit = !this.isEdit;
      // if (!this.isEdit) {
      //   this.saveAllData();
      // }
    },
    handleLiverKidneyDataChange(data) {
      console.log("肝功能肾功能数据变更:", data);
      // 处理数据保存或临时存储
    },
    handleBloodRoutineDataChange(data) {
      console.log("血常规功能数据变更:", data);
      // 处理数据保存或临时存储
    },
    handleUrineRoutineDataChange(data) {
      console.log("尿常规功能数据变更:", data);
      // 处理数据保存或临时存储
    },
    // 保存培养记录
    handleSaveCulture() {
      this.$refs.cultureForm.validate(valid => {
        if (valid) {
          this.cultureSaveLoading = true;
          const api = this.cultureForm.id
            ? updateCultureResult
            : addCultureResult;
          const requestData = {
            ...this.cultureForm,
            maintenanceId: this.form.id
          };

          api(requestData)
            .then(response => {
              if (response.code === 200) {
                this.$message.success(
                  this.cultureForm.id ? "修改成功" : "新增成功"
                );
                this.cultureDialogVisible = false;
                this.getCultureList();
              }
              this.cultureSaveLoading = false;
            })
            .catch(() => {
              this.cultureSaveLoading = false;
            });
          if (this.cultureForm.id) {
            // 编辑现有记录
            const index = this.cultureList.findIndex(
              item => item.id === this.cultureForm.id
            );
            if (index !== -1) {
              this.cultureList.splice(index, 1, { ...this.cultureForm });
            }
          } else {
            // 新增记录
            this.cultureForm.id = Date.now();
            this.cultureList.push({ ...this.cultureForm });
          }

          this.$message.success(this.cultureForm.id ? "修改成功" : "新增成功");
          this.cultureDialogVisible = false;
          this.cultureSaveLoading = false;
        }
      });
    },
@@ -1029,37 +832,15 @@
        type: "warning"
      })
        .then(() => {
          deleteCultureResult(row.id).then(response => {
            if (response.code === 200) {
              this.$message.success("删除成功");
              this.getCultureList();
            }
          });
          this.cultureList = this.cultureList.filter(
            item => item.id !== row.id
          );
          this.$message.success("删除成功");
        })
        .catch(() => {});
    },

    getCultureTypeLabel(value) {
      const type = this.cultureTypeOptions.find(item => item.value === value);
      return type ? type.label : "未知";
    },

    // 护理核查记录相关方法
    getRecordList() {
      this.recordLoading = true;
      listNursingRecords(this.form.id, this.recordQueryParams)
        .then(response => {
          if (response.code === 200) {
            // this.recordList = response.data.rows;
            // this.recordTotal = response.data.total;
          }
          this.recordLoading = false;
        })
        .catch(() => {
          this.recordLoading = false;
        });
    },

    // 护理记录相关方法
    handleAddRecord() {
      this.recordDialogTitle = "新增护理核查记录";
      this.recordForm = {
@@ -1068,15 +849,9 @@
          .toISOString()
          .replace("T", " ")
          .substring(0, 19),
        recorder: "当前用户", // 实际项目中从用户信息获取
        temperature: 36.5,
        heartRate: 80,
        bloodPressure: "120/80",
        respirationRate: 18,
        oxygenSaturation: 98,
        urineOutput: 50,
        cvp: 8,
        remarks: ""
        recorder: "当前用户",
        checkRecord: "",
        attachments: []
      };
      this.recordDialogVisible = true;
      this.$nextTick(() => {
@@ -1093,58 +868,28 @@
      });
    },

    handleViewRecord(row) {
      this.$alert(
        `
        <div>
          <p><strong>核查时间：</strong>${row.recordTime}</p>
          <p><strong>核查人：</strong>${row.recorder}</p>
          <p><strong>生命体征：</strong></p>
          <ul>
            <li>体温：${row.temperature}℃</li>
            <li>心率：${row.heartRate}次/分</li>
            <li>血压：${row.bloodPressure}mmHg</li>
            <li>呼吸：${row.respirationRate}次/分</li>
            <li>血氧饱和度：${row.oxygenSaturation}%</li>
            <li>尿量：${row.urineOutput}ml/h</li>
          </ul>
          <p><strong>备注：</strong>${row.remarks || "无"}</p>
        </div>
      `,
        "护理核查记录详情",
        {
          dangerouslyUseHTMLString: true,
          customClass: "detail-dialog"
        }
      );
    },

    handleSaveRecord() {
      this.$refs.recordForm.validate(valid => {
        if (valid) {
          this.recordSaveLoading = true;
          const api = this.recordForm.id
            ? updateNursingRecord
            : addNursingRecord;
          const requestData = {
            ...this.recordForm,
            maintenanceId: this.form.id
          };

          api(requestData)
            .then(response => {
              if (response.code === 200) {
                this.$message.success(
                  this.recordForm.id ? "修改成功" : "新增成功"
                );
                this.recordDialogVisible = false;
                this.getRecordList();
              }
              this.recordSaveLoading = false;
            })
            .catch(() => {
              this.recordSaveLoading = false;
            });
          if (this.recordForm.id) {
            // 编辑现有记录
            const index = this.recordList.findIndex(
              item => item.id === this.recordForm.id
            );
            if (index !== -1) {
              this.recordList.splice(index, 1, { ...this.recordForm });
            }
          } else {
            // 新增记录
            this.recordForm.id = Date.now();
            this.recordList.push({ ...this.recordForm });
          }

          this.$message.success(this.recordForm.id ? "修改成功" : "新增成功");
          this.recordDialogVisible = false;
          this.recordSaveLoading = false;
        }
      });
    },
@@ -1156,26 +901,59 @@
        type: "warning"
      })
        .then(() => {
          deleteNursingRecord(row.id).then(response => {
            if (response.code === 200) {
              this.$message.success("删除成功");
              this.getRecordList();
            }
          });
          this.recordList = this.recordList.filter(item => item.id !== row.id);
          this.$message.success("删除成功");
        })
        .catch(() => {});
    },

    // 保存基本信息
    handleSave() {
      this.$refs.form.validate(valid => {
        if (valid) {
          updateMaintenance(this.form).then(response => {
            if (response.code === 200) {
              this.$message.success("保存成功");
              this.isEdit = false;
            }
          });
    // 附件相关方法
    handleCultureAttachmentChange(fileList) {
      this.cultureForm.attachments = fileList;
    },

    handleRecordAttachmentChange(fileList) {
      this.recordForm.attachments = fileList;
    },

    handleViewCultureAttachments(row) {
      this.currentAttachmentList = row.attachments || [];
      this.attachmentPreviewTitle = `培养记录附件 - ${row.cultureType}`;
      this.attachmentPreviewVisible = true;
    },

    handleViewRecordAttachments(row) {
      this.currentAttachmentList = row.attachments || [];
      this.attachmentPreviewTitle = `护理核查记录附件 - ${row.recorder}`;
      this.attachmentPreviewVisible = true;
    },

    // 评估数据变更处理
    handleLiverKidneyDataChange(data) {
      this.assessmentData.liverKidney = data;
    },

    handleBloodRoutineDataChange(data) {
      this.assessmentData.bloodRoutine = data;
    },

    handleUrineRoutineDataChange(data) {
      this.assessmentData.urineRoutine = data;
    },

    handleTabClick(tab) {
      this.$nextTick(() => {
        let tableRef = null;
        if (tab.name === "liverKidney") {
          tableRef = this.$refs.liverKidney;
        } else if (tab.name === "bloodRoutine") {
          tableRef = this.$refs.bloodRoutine;
        } else if (tab.name === "urineRoutine") {
          tableRef = this.$refs.urineRoutine;
        }

        if (tableRef && tableRef.doLayout) {
          tableRef.doLayout();
        }
      });
    }
@@ -1192,92 +970,25 @@
  margin-bottom: 20px;
}

.culture-card {
  margin-bottom: 20px;
}

.record-card {
  margin-bottom: 20px;
}

.detail-title {
  font-size: 16px;
  font-weight: bold;
}
.maintenance-detail {
  padding: 20px;
}

.detail-card {
  margin-bottom: 20px;
}

.culture-card {
  margin-bottom: 20px;
}

.record-card {
  margin-bottom: 20px;
}

.detail-title {
  font-size: 16px;
  font-weight: bold;
}
.medical-panel {
  padding: 20px;
}

.attachment-section {
  margin-top: 20px;
  padding: 15px;
  border: 1px solid #ebeef5;
  border-radius: 4px;
}

.attachment-title {
  font-weight: bold;
  margin-bottom: 10px;
  color: #409eff;
}

.required-item::before {
  content: "*";
  color: #f56c6c;
  margin-right: 4px;
}

.assessment-card {
  margin-bottom: 20px;
}

.medical-table {
  width: 100%;
.record-card {
  margin-bottom: 20px;
}

.dynamic-column {
  min-width: 120px;
.detail-title {
  font-size: 16px;
  font-weight: bold;
  margin-right: 20px;
}

.culture-card {
  margin-bottom: 20px;
}

.fixed-width .el-button {
  margin: 0 2px;
}

/* 详情对话框样式 */
:deep(.detail-dialog) {
  width: 500px;
}

:deep(.detail-dialog .el-message-box__content) {
  line-height: 1.8;
}

:deep(.detail-dialog ul) {
  margin: 10px 0;
  padding-left: 20px;
}

:deep(.detail-dialog li) {
  margin-bottom: 5px;
}
</style>